| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER, INC. | 3931 SOUTH DIXIE DRIVE DAYTON, OH 45439 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $15K | $15K | 3.23% |
| C2 CENTRIC LLC3 | POST OFFICE BOX 6824 GRAND RAPIDS, MI 49516 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $5K | $5K | 1.08% |
| THE ULTIMATE SOFTWARE GROUP3 Filed as: ULTIMATE SOFTWARE GROUP | P.O. BOX 930953 ATLANTA, GA 31193 | STANDARD INSURANCE COMPANY | $0 | $4K | $4K | 3.50% |
| WATCHTOWER TECHNOLOGIES INC3 Filed as: WATCHTOWER TECHNOLOGIES, INC. | 227 WEST MONROE STREET CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | $0 | $2K | $2K | 1.27% |
| THE ULTIMATE SOFTWARE GROUP3 Filed as: ULTIMATE SOFTWARE GROUP | P. O. BOX 930953 ATLANTA, GA 31193 | STANDARD INSURANCE COMPANY | $0 | $2K | $2K | 3.50% |
| WATCHTOWER TECHNOLOGIES INC3 Filed as: WATCHTOWER TECHNOLOGIES, INC. | 227 WEST MONROE STREET CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | $0 | $763 | $763 | 1.28% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 8044 MONTGOMERY ROAD CINCINNATI, OH 45236 | PROVIDENT LIFE | $454 | $35 | $489 | 3.53% |
| HORAN ASSOCIATES INC.3 Filed as: HORAN ASSOC | 8044 MONTGOMERY ROAD CINCINATI, OH 45236 | PROVIDENT LIFE | $142 | $117 | $259 | 1.87% |
| M FINANCIAL HOLDINGS INC3 Filed as: M FINANCIAL | 1125 NW COUCH STREET PORTLAND, OR 97209 | PROVIDENT LIFE | $0 | $154 | $154 | 1.11% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 8044 MONTGOMERY ROAD CINCINNATI, OH 45236 | PROVIDENT LIFE | $454 | $35 | $489 | 3.53% |
| HORAN ASSOCIATES INC.3 Filed as: HORAN ASSOC | 8044 MONTGOMERY ROAD CINCINNATI, OH 45236 | PROVIDENT LIFE | $142 | $117 | $259 | 1.87% |
| M FINANCIAL HOLDINGS INC3 Filed as: M FINANCIAL | 1125 NW COUCH STREET PORTLAND, OR 97209 | PROVIDENT LIFE | $0 | $154 | $154 | 1.11% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER, INC. | 3931 SOUTH DIXIE DRIVE DAYTON, OH 45439 | PROVIDENT LIFE | $2K | $272 | $3K | 23.28% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 8044 MONTGOMERY ROAD CINCINNATI, OH 45236 | PROVIDENT LIFE | $48 | $4 | $52 | 7.02% |
| M FINANCIAL HOLDINGS INC3 Filed as: M FINANCIAL | 1125 NW COUCH STREET PORTLAND, OR 97209 | PROVIDENT LIFE | $0 | $5 | $5 | 0.67% |
| ACORDIA FINANCIAL3 | 1014 VINE STREET CINCINNATI, OH 45202 | PROVIDENT LIFE | $28 | — | $28 | 8.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 ADMINISTRATOR AND BROKER | Claims processing; Other commissions Service code 12 | — | $120K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 215 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 218 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTAL CARE PLUS | 427 | $186K |
| Vision | EYEMED | 483 | $48K |
| Life insurance | STANDARD INSURANCE COMPANY | 216 | $118K |
| Short-term disability(4 contracts) | PROVIDENT LIFE | 6 | $26K |
| Long-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 216 | $74K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 213 | $453K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 483 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
No prospect flags tripped on this filing.